医师职业倦怠影响因素的meta分析  

A Meta Analysis of Factors Influencing Physicians Burnout

作　　者：叶俊英 王欢[3] 吴昊 张华 马翔宇[1] 张文华 YE Junying;WANG Huan;WU Hao;ZHANG Hua;MA Xiangyu;ZHANG Wenhua(Army Medical University,Chongqing,400038,China)

机构地区：[1]陆军军医大学,重庆400038 [2]重庆市妇幼保健院,重庆401147 [3]陆军军医大学西南医院,重庆400038 [4]陆军军医大学新桥医院,重庆400037

出　　处：《中国卫生质量管理》2018年第4期70-74,共5页Chinese Health Quality Management

基　　金：重庆市决策咨询与管理创新重点项目(cstc2016jccxB0077)

摘　　要：目的对医师职业倦怠研究成果进行系统评价,分析主要影响因素。方法检索相关数据库文献,筛选目标文献26篇,样本总量为12 494人,按照性别、婚姻、职称和科室4个特征分组进行Meta分析,采用Stata 12.0软件进行统计学分析。结果不同性别、婚姻、职称的医师在情绪衰竭和去人性化这两个维度上有显著差异(P<0.05),在低成就感这一维度上,性别、婚姻、职称和科室4个特征均无统计学意义(P>0.05)。结论医师职业倦怠群体内差异不受研究年代变化、地域的影响,但研究工具造成的差异值得关注。Objective A systematic review was made on job burnout among Chinese physicians and major influence factors were analyzed. Methods Related databases were searched to include 26 target studies with 12494 physicians.A Meta-analysis was made by Stata 12.0 statistical software from four feature groups:gender,marriage,titles and departments. Results As for the emotional exhaustion and depersonalization dimensions,it showed significant difference on gender,marriage,titles(P<0.05).However,in the low sense of accomplishment dimension,there was no significant difference in these four demographic characteristics including gender,marriage,titles and departments(P>0.05). Conclusion The in-group difference of physicians burnout was not affected by time and region,while the difference caused by research tools should be paid attention to.

关 键 词：医师 职业倦怠 情绪衰竭 去人性化 

分 类 号：R192.3[医药卫生—卫生事业管理]